Active NPI
Tom J Hogan, AMBULANCE
- Paramedic
- Cimarron, KS
National Provider Identifier
1487787438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 0690
- Practice address
- 101 W Ave D
Cimarron, KS 67835 - Phone
- (620) 855-7731
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0690 | KS | Primary |
Addresses
Primary practice location
101 W Ave D
Cimarron, KS 67835
Mailing address
PO Box 568
Cimarron, KS 67835-0568
Phone (620) 855-7731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0690 | KS | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Gray | Past | Accepting new patients | |
| County of Gray | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Cimarron, KS
- NPI 1548411069
-
- Public Health or Welfare Agency
- Cimarron, KS
- NPI 1710957089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1487787438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "CIMARRON",
"state": "KS",
"postal_code": "678350568",
"telephone_number": "620-855-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W AVE D",
"city": "CIMARRON",
"state": "KS",
"postal_code": "67835",
"telephone_number": "620-855-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "TOM",
"middle_name": "J",
"credential": "AMBULANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "KS",
"license": "0690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cimarron, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.